Individual
DEREK LOGAN RINCHUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, MPAS, PA-C
Contact information
Practice address
4815 LIBERTY AVE STE 322, PITTSBURGH, PA 15224-2156
(412) 578-4484
(412) 578-3536
Mailing address
4815 LIBERTY AVE STE 322, PITTSBURGH, PA 15224-2156
(412) 578-4484
(412) 578-3536
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA059538
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103443211
—
PA
Enumeration date
11/27/2017
Last updated
10/02/2020
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